Sheikh Zara, Crockett Stephen, Selvakumar Sadasivam
Department of Vascular Surgery, East and North Hertfordshire NHS Foundation Trust, Lister Hospital, Stevenage, UK.
J Surg Case Rep. 2020 Apr 3;2020(4):rjaa025. doi: 10.1093/jscr/rjaa025. eCollection 2020 Apr.
The prevalence of abdominal aortic aneurysms (AAA) in the nonagenarian and centenarian populations is set to increase. Endovascular aneurysm repair (EVAR) has been shown to be achievable with excellent outcomes in carefully selected nonagenarians. However, experience with centenarians is limited. We report the case of a 100-year-old who presented with a tender 8-cm AAA and successfully underwent EVAR. This report describes the second case of AAA repair in a centenarian in the literature and the first reported EVAR in this demographic. The patient survived for 2 years after the procedure, was free of EVAR or aneurysm-related complications. Furthermore, we present a systematic review of the existing literature and insights pertaining to outcomes in nonagenarians undergoing EVAR.
腹主动脉瘤（AAA）在九旬老人和百岁老人中的患病率呈上升趋势。血管内动脉瘤修复术（EVAR）已被证明在经过精心挑选的九旬老人中是可行的，且效果良好。然而，百岁老人的相关经验有限。我们报告了一例100岁患者，其患有一个8厘米且有压痛的腹主动脉瘤，并成功接受了血管内动脉瘤修复术。本报告描述了文献中第二例百岁老人腹主动脉瘤修复病例，也是该年龄段首例报告的血管内动脉瘤修复术。该患者术后存活了2年，未出现血管内动脉瘤修复术或动脉瘤相关并发症。此外，我们对现有文献进行了系统回顾，并阐述了九旬老人接受血管内动脉瘤修复术的相关结果。
